| Regimental number | 1640 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Stockman |
| Address | Punch Street, Mosman, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Wife, Mrs. May Florence Montefiore, Punch Street, Mosman, Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 6th Light Horse Regiment, 12th Reinforcement |
| AWM Embarkation Roll number | 10/11/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A34 Persic on |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | Australian Provost Corps |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
